Splenic hematoma. A rare complication of colonoscopy.
An extremely rare yet potentially fatal complication of colonoscopy is reported. A 52-year-old female developed a splenic subcapsular hematoma following routine colonoscopy. Conservative treatment was successful. In the English literature, only 14 similar cases have been reported. Treatment of a splenic flexure lesion, previous surgery with splenocolic adhesions, and inflammatory bowel disease increase the risk of such a complication. Increased awareness by surgeons and gastroenterologists should lead to prompt treatment and favorable outcome.
Reissman
P
P
Department of General Surgery, Hadassah University Hospital, Jerusalem, Israel.
Durst
A L
AL
D003113:Colonoscopy / Q000009:adverse effects*; D005260:Female; D005500:Follow-Up Studies; D006406:Hematoma / Q000000981:diagnostic imaging / Q000209:etiology*; D006801:Humans; D008875:Middle Aged; D012004:Rectal Neoplasms / Q000175:diagnosis / Q000601:surgery; D013154:Spleen / Q000293:injuries*; D013158:Splenic Diseases / Q000000981:diagnostic imaging / Q000209:etiology*; D014057:Tomography, X-Ray Computed